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Healthier

Fifty Thoughts on the Foundations of Population Health

Sandro Galea

A trenchant argument for the urgency of population-level interventions in health — and a strong rebuttal to those who question it

Appropriate for a wide range of readers, from students embarking on a career in public health and health sciences to seasoned practitioners and scholars

A collection of essays that combines unity and a clarity of purpose with granular coverage of diverse subject matter

Of interest to health policy makers, civil servants, workers at state and local departments of health, and students in public health and health sciences

"The book everyone interested in health should read" - Fortune

Healthier

Fifty Thoughts on the Foundations of Population Health

Sandro Galea

Description

Fifty essays on the state of population health from a vanguard voice in the field

Public health can rightly claim its share of victories: healthier cities, widespread sanitation, broader availability of nutrient-rich food, and reductions in violence and injury. But for all these gains, today we face a new set of challenges, ones complicated by political and professional shifts that threaten to fundamentally change the health of populations.

Healthier is both an affirmation and an essential summary of the current challenges and opportunities for those working in and around the improvement of population health. The essays contained here champion an approach to health that is consequentialist and rooted in social justice — an expansion of traditional, quantitatively motivated public health that will both inform and inspire any reader from student to seasoned practitioner.

Galea's cogent, incisive arguments guarantee that his perspective, currently at the forefront of public health, will soon become conventional wisdom.

Healthier

Fifty Thoughts on the Foundations of Population Health

Sandro Galea

Table of Contents

Acknowledgements Dedication 1. IntroductionSection 1. The foundations of population health 2. The aspirations and strategies of public health 3. Social justice, public health 4. On mechanisms vs. foundations 5. What health, for whom? 6. Pasteur's quadrant and population health 7. Producing health over a lifetime 8. Shaping values, elevating health 9. Towards a culture of health 10. Paternalism: unavoidable, perhaps desirable 11. At the heart of it all, empathy 12. On courageSection 2. The world as it is 13. More hate, more harm 14. The burden of incarceration 15. Finding a way out: suicide and the health of populations 16. The heavy toll of substance use 17. The health effects of war 18. Out in the cold 19. Priced out of health 20. When disaster strikes 21. Climate change and our health 22. Reproductive health, reproductive justice 23. Coming to terms with firearms 24. The corrosive role of racismSection 3. On inequities and the health of marginalized populations 25. On health haves and health have nots 26. Income and health 27. What Flint teaches us 28. Gender equity, almost 29. The well-being of LGBT populations 30. Transgender today 31. The health of immigrants 32. Caring for refugeesSection 4. The challenges faced by public health 33. Population health science-are we doing it wrong? 34. To screen, or not to screen 35. Knowledge and values 36. A step backwards on vaccines 37. Living with complexity 38. Moving beyond 39. On ignorance 40. Acknowledging luckSection 5. Towards a healthier world 41. Aging healthy 42. In the heart of the city, health 43. Towards an activist public health 44. Promoting prevention 45. Innovating for a healthier public 46. Who should we talk to, and how? 47. On engaging the media 48. Making the acceptable unacceptable 49. Social movements and the conditions of health 50. Public health as public good 51. A world without public health Index

"The book everyone interested in health should read" - Fortune

Healthier

Fifty Thoughts on the Foundations of Population Health

Sandro Galea

Author Information

Sandro Galea, Robert A. Knox Professor and Dean, School of Public Health, Boston University

Sandro Galea, MD, DrPH, is the Robert A. Knox Professor and Dean at the School of Public Health at Boston University. A physician and epidemiologist interested in the social production of health of urban populations, his work explores innovative cells-to-society approaches to population health questions with an overall aim of advancing a consequentialist approach to population health scholarship. He is a past president of the Society for Epidemiologic Research and an elected member of the National Academy of Medicine. He is the author or editor of Epidemiology Matters, Population Health Science, and Systems Science and Population Health, all from Oxford University Press.

"The book everyone interested in health should read" - Fortune

Healthier

Fifty Thoughts on the Foundations of Population Health

Sandro Galea

Reviews and Awards

"Galea's concise yet engaging prose makes for a compelling read ... he does an excellent job of providing [readers] with a vast array of issues to explore while being honest about the challenges ahead for the field." - Amanda Matheson, MD, Population Health Management

"Sandro Galea is a is a psychiatrist, the dean of the School of Public Health at Boston University, and a wonderful storyteller. He is out to change the narrative, the way we think, feel, and act about the health of populations of people." - American Journal of Psychiatry

"A series of essays that inform and inspire our thinking about the role of public health. This book is more than an academic resource; it is a conversation starter and a bridge to our peers in other sectors. Galea's book left me optimistic and inspired." - Karen DeSalvo, American Journal of Public Health

"The book everyone interested in health should read" - Fortune

"The book everyone interested in health should read" - Fortune

Healthier

Fifty Thoughts on the Foundations of Population Health

Sandro Galea

From Our Blog

The United States spends more on health than any other economically comparable country, yet sees a consistently mediocre return on this investment. This could be because the United States invests overwhelmingly in medicine and curative care, at the expense of the social, economic, and environmental determinants of health'factors like quality education and housing, the safety of our air and water, and the nutritional content of our food.

These are divided times. In Washington, a new administration has deepened the polarization of an already gridlocked political process. In the media, our disagreements are expressed, and often amplified, by a host of competing voices. The questions they address include: how should the Constitution be interpreted? Should we embrace free trade or focus on rebuilding our industrial base?